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911 West Henderson Street, Kiser Building Suite 410 Salisbury NC 28144-2700 | |
(704) 347-4144 | |
(704) 347-4148 |
Full Name | |
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Speciality | Internal Medicine - Obesity Medicine |
Location | 911 West Henderson Street, Kiser Building, Salisbury, North Carolina |
Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
Authorized Official Contact | 7043849094 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 347-4144 | 911 West Henderson Street, Kiser Building Suite 410 Salisbury NC 28144-2700 Ph: (704) 347-4144 |
NPI Number | 1023319449 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 11/17/2010 |
Identifier | Type | State | Issuer |
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1023319449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
Copperfield Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |